Monitors physician billing activity to support compliance and audit feedback processes.
Responsibilities
- Track and trend audit results, and prepare/present reports.
- Analyze physician coding patterns and related documentation using electronic databases.
- Orient new employees/faculty to billing and compliance policies and procedures.
- Monitor coding and medical record documentation compliance with federal and state regulations.
- Educate clinical staff and providers on compliant coding practices to support maximum revenue.
- Design audit tools and methodology; conduct prospective and retrospective compliance documentation audits.
- Maintain the integrity of electronic and hard copy files and databases.
- Research and educate providers on appropriate coding for their specialty.
- Train on coding and documentation changes implemented internally and by insurance carriers.
- Monitor the effectiveness of corrective action plans.
- Evaluate the compliance plan and recommend or implement policy and procedure changes.
- Identify trends in revenue cycle activity, including payments, denials, billing, coding, and documentation errors, and recommend actions to address deficiencies.
Requirements & Qualifications
Education
- Bachelor's degree in a related field.
Experience
- Approximately 2-3 years of experience in medical records and/or physician billing.
- Approximately 1-2 years of experience as a medical coder.
Knowledge and skills
- Knowledge of professional billing, including physician billing, reimbursement, and carrier relations.
- Knowledge of third-party reimbursement.
Certification
- Certified Professional Coder (CPC) certification.
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$79,400 - $90,200
Remote work allowed
No
Posted
1 month ago
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